Changes - Factors that determine more help at home or a higher level of care is needed

 

There is an overwhelming amount of information about housing options for senior adults which causes confusion and frustration for the caregiver/adult child.  The greatest challenge is finding the “right” level of care.  Most seniors prefer the comfort of their home to an assisted living or nursing home setting.  They want to maintain their independence for as long as possible.  

 

However, the truth is some need more than “just a little” help.  

 

How do you determine when it is time for additional help or plan a move into a community where twenty-four hour assistance is available?  Here are some CHANGES to look for that signal more care or a move is needed. 

·       Safety – Leaving the gas stove on, setting fire in a microwave oven, forgetting a driving route they have traveled for years, unexplained injuries or car accidents, and letting strangers in their home without hesitation.

·       Falls – Falling without tripping, from weakness, poor balance, coordination, and  visual impairment.

·       Medication Mismanagement – Does not take medications as prescribed, forgets to take medication, improper storage, incorrect dosages, continuing to take discontinued medications.

·       Loss of Executive Function – Difficulty planning or processing information.  Inability to organize thoughts. Inappropriate social behavior.

·       Memory Loss – Unable to manage a schedule or remember appointments. Makes repetitive significant financial errors. Compensates for memory loss by asking others to “remember” for them.  Requires verbal cuing for activities of daily living, i.e., dressing, bathing, and ambulation.

·       Functional Limitations – Unsafe when stepping over a tub or getting in and out of a car.  Finds it difficult to put on clothing or shoes due to pain or limited range of motion in joints.  Visual and hearing impairments limit social interaction and miscommunication with healthcare professionals.

 

These changes signal an ALERT!!  Planning before a crisis helps you make the best decision for your loved one.  Start the conversation NOW.  Ask questions and look for these subtle but very important changes.

 

Next….what are Levels of Care?